2003, 10-27 Permit App: BLD-03-02913 Fireplace, Piping*tine
#Valley
Mechanical Permit Application
11707, East Sprague Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
METHOD OF PA
D CASH D C
DESCRIPTION OF WORK
4 O UNITS
X
PROJECT
(((
ADDRESS. ,4 (-/7/ea
EQUALS
AMOUWF
5T
PERMIT
USE:
OWNER:kiAii tit.c
?....,
X
fll S CLa.ek:> co)
PHONE (Daytime Contact): 60.9_ c..iQc f 7 �
MAILING ADDRESS:
. q 7 ao
.:7 -:g.
> 100,000
k/i On176i OA- - 99 ,.-/(a
-'S
(Street)
•
(city/state)
(ZIP)
CONTRACTOR:
X
550
•
LICENSE t:
MAILING ADDRESS:'- .
UNLISTED APPLIANCE (ADDrITONAL FEE)
> 400,000
X
PHONE #:
•
(street)
5
USED APPLIANCE (WSEC min. AFUE rating)
. (city/state)
(ZIP)
X.
550
•
6
METHOD OF PA
D CASH D C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
4 O UNITS
X
COST
EQUALS
AMOUWF
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
' 515
•2
FUEL BURNING APPLIANCE
> 100,000
. X ' '
519
•
3
UNLISTED APPLIANCE (ADDMONAL FEE)
- OR <400,000
X
550
•
4.
UNLISTED APPLIANCE (ADDrITONAL FEE)
> 400,000
X
5100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
or <400,000
X.
550
•
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
•
7
BOILER/REFRIGERATION
I- I00M BTU
X
515 '
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
528
•
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
•
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOC, GAS INSERT, GAS FIREPLACE
-
f
X
510
-
13
RANGE
-
X
510
-
14
DRYER'
-
X
510 '
-
15
FUEL BURNING WATER HEATER
-
-
X
510
•
16
MLSC FUEL BURNING ADPL..__. -
- _-
.. _ .:
X• -
- --510 -
......_-
. _.—....__..
17
GAS PIPING (ea. Outlet)
_
X
51
•
18
DUCT SYSTEMS
_
X
510
•
19
VENTILATING FANS
-
-
X
510
-
20
AIR HANDLER (DOES NOT include ducting)
- OR <10,000CFM
X
512
21
AIR HANDLER (DOES NOT include ducting)
'10.000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
-
X
510
.•
23
TYPE I HOOD
-
X
550
•
24
TYPE B HOOD
-
X
510
•
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
•
26
AIR CONDITIONER
3-15 TON
X
520
•
27
ARCONDDIONER
15.30 TON
X
525 '
•
28
AIR CONDITIONER
30-50 TON
X
535
•
29
AIRCONDMONER
+SO TON
X
560
•
30
LPC STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
' 510
•
32
WOOD STOVE - FREESTANDING
-
X
525
•
HENT
SUBTOTAL:
PLUS PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: